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Invited Commentary: Three-Piece Inflatable Penile Prosthesis: Imaging Insights Beyond the Operating Room.

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  1. Home
  3. Imaging Of The Three-piece Inflatable Penile Prosthesis.
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  3. Imaging Of The Three-piece Inflatable Penile Prosthesis.

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Imaging of the Three-Piece Inflatable Penile Prosthesis.

Yashant Aswani1

  • 1Department of Radiology, University of Iowa Health Care, 200 Hawkins Dr, 3882 JPP, Iowa City, IA 52242.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|June 18, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Erectile dysfunction (ED) is rising, with penile prostheses offering high satisfaction. This review details imaging for inflatable penile prosthesis (IPP) complications, aiding radiologists in diagnosis.

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Area of Science:

  • Radiology
  • Urology
  • Medical Imaging

Background:

  • Erectile dysfunction (ED) prevalence is increasing globally, impacting men's quality of life.
  • Penile prostheses, particularly inflatable penile prostheses (IPPs), are effective ED treatments with high satisfaction rates.
  • IPP implantation is common, but complications like infection and mechanical failure require accurate detection.

Purpose of the Study:

  • To familiarize radiologists with the imaging appearance of three-piece inflatable penile prostheses (IPPs).
  • To guide radiologists in diagnosing IPP complications using various imaging modalities.
  • To propose a structured reporting template for IPP imaging.

Main Methods:

  • Review of imaging findings for normal and complicated three-piece IPPs.
  • Discussion of MRI as the preferred modality for IPP evaluation, including functional assessment.
  • Consideration of CT and US for complementary information based on suspected complications.

    • Main Results:

    • MRI allows detailed anatomical and functional assessment of IPPs in inflated and deflated states.
    • Imaging detection of IPP complications can be challenging on clinical examination alone.
    • Specific imaging features help differentiate between infection, mechanical failure, and malpositioning.

    Conclusions:

    • Radiologists play a crucial role in diagnosing IPP complications.
    • Accurate imaging interpretation and structured reporting are essential for effective patient management.
    • Familiarity with IPP imaging facilitates better communication between radiologists and referring clinicians.